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Jack Leroy Foster III, PA-C

NPI 1881450740ActiveIndividual· Physician Assistant, Surgical· Duluth, MN

Physician Assistant, Surgical (PA-C) with Range Regional Health Services and 2 other groups, practicing in Duluth, Minnesota. Enrolled in Medicare as practitioner - physician assistant. Lists Grand Itasca Clinic and Hospital as a hospital affiliation.

Overview

NPI1881450740
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorYes
NPI issuedFeb 27, 2024
Last updated in NPPESMay 8, 2026
Certified by providerMay 8, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Surgical Primary363AS0400X15708MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (MN)

Medicare sources and data years

Education and affiliations

Graduation year2025
Medicare specialtyPhysician Assistant

Medical groups

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other surgical physician assistants in Duluth

All surgical physician assistants in Minnesota